UnityPoint Health - Trinity Moline
2701 17th St, Rock Island, IL · UnityPoint Health · · NPI 1316047632
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | $244.80 | $306.00 | $30.63 – $310.82 | 15 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | $298.40 | $373.00 | $46.54 – $167.30 | 15 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | $344.80 | $431.00 | $54.05 – $188.93 | 15 |
| Sheath above knee HCPCS L8410 | not published | not published | $12.68 – $39.78 | 14 |
| Sheath below knee HCPCS L8400 | not published | not published | $10.97 – $30.22 | 14 |
| Sheath upper limb HCPCS L8415 | not published | not published | $14.57 – $41.17 | 14 |
| Shigella antibody CPT 86771 | $49.60 | $62.00 | $3.50 – $39.17 | 14 |
| Shlder disart int lock elbow HCPCS L6300 | not published | not published | $2,512.00 – $8,573.65 | 14 |
| Shldr disar prosth tiss shap HCPCS L6550 | not published | not published | $2,455.45 – $8,736.80 | 14 |
| Shldr disartic myoelectronic HCPCS L6965 | not published | not published | $8,600.89 – $29,029.60 | 14 |
| Sho arthrs dx +- synovial bx CPT 29805 | $2,310.40 | $2,888.00 | $427.49 – $2,524.18 | 15 |
| Sho arthrs srg bicp tenodsis CPT 29828 | $4,523.20 | $5,654.00 | $823.23 – $5,557.54 | 15 |
| Sho arthrs srg capsulorraphy CPT 29806 | $5,208.00 | $6,510.00 | $950.04 – $5,557.54 | 15 |
| Sho arthrs srg compl synvct CPT 29821 | $2,916.80 | $3,646.00 | $537.86 – $2,524.18 | 15 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | $2,836.80 | $3,546.00 | $491.29 – $2,524.18 | 15 |
| Sho arthrs srg lss&rescj ads CPT 29825 | $2,883.20 | $3,604.00 | $531.23 – $2,524.18 | 15 |
| Sho arthrs srg prtl synvct CPT 29820 | $2,641.60 | $3,302.00 | $485.15 – $5,557.54 | 15 |
| Sho arthrs srg rmvl loose/fb CPT 29819 | $2,883.20 | $3,604.00 | $530.79 – $2,524.18 | 15 |
| Sho arthrs srg rpr slap les CPT 29807 | $5,091.20 | $6,364.00 | $928.04 – $5,557.54 | 15 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | $3,086.40 | $3,858.00 | $536.20 – $2,524.18 | 15 |
| Shoe clubfoot wedge HCPCS L3380 | not published | not published | $29.66 – $95.62 | 14 |
| Shoe dennis browne splint bo HCPCS L3640 | not published | not published | $25.87 – $83.39 | 14 |
| Shoe heel new leather standa HCPCS L3455 | not published | not published | $24.34 – $78.46 | 14 |
| Shoe heel new rubber standar HCPCS L3460 | not published | not published | $20.53 – $66.22 | 14 |
| Shoe heel pad & depress for HCPCS L3480 | $149.60 | $187.00 | $37.27 – $120.11 | 14 |
| Shoe heel sach cushion type HCPCS L3450 | not published | not published | $63.14 – $203.44 | 14 |
| Shoe heel thomas extend to b HCPCS L3470 | not published | not published | $37.27 – $120.11 | 14 |
| Shoe heel thomas with wedge HCPCS L3465 | not published | not published | $35.00 – $112.85 | 14 |
| Shoe lift elev heel/sole neo HCPCS L3310 | not published | not published | $48.70 – $156.94 | 14 |
| Shoe metatarsal bar between HCPCS L3410 | not published | not published | $55.54 – $178.96 | 14 |
| Shoe metatarsal bar wedge ro HCPCS L3400 | not published | not published | $24.34 – $78.46 | 14 |
| Shoe outflare wedge HCPCS L3390 | not published | not published | $29.66 – $95.62 | 14 |
| Shoe post-op mens m HCPCS L3260 | $23.20 | $29.00 | $7.27 – $65.00 | 8 |
| Shoe sole wedge between sole HCPCS L3370 | not published | not published | $29.66 – $95.62 | 14 |
| Shoe sole wedge outside sole HCPCS L3360 | not published | not published | $21.29 – $68.64 | 14 |
| Shoe wedge sach HCPCS L3340 | not published | not published | $50.98 – $164.30 | 14 |
| Sho heel count plast reinfor HCPCS L3430 | not published | not published | $95.86 – $308.93 | 14 |
| Sho insert w arch toe filler HCPCS L5000 | not published | not published | $316.05 – $1,106.99 | 14 |
| Sho lift taper to metatarsal HCPCS L3300 | not published | not published | $31.19 – $100.54 | 14 |
| Shortening of hand tendon CPT 26479 | $1,575.20 | $1,969.00 | $603.31 – $2,524.18 | 15 |
| Shortening of thigh bone CPT 27465 | not published | not published | $1,115.57 – $2,966.46 | 14 |
| Shorten/lengthen thighs CPT 27468 | not published | not published | $1,198.13 – $3,186.76 | 14 |
| Shorten radius or ulna CPT 25390 | $3,796.80 | $4,746.00 | $697.28 – $5,557.54 | 15 |
| Shorten radius & ulna CPT 25392 | $4,988.80 | $6,236.00 | $910.36 – $5,557.54 | 15 |
| Shot (Injection into Muscle or Under the Skin) CPT 96372 | $146.31 | $182.88 | $13.03 – $80.65 | 17 |
| Shoulder abduction joint pai HCPCS L6640 | not published | not published | $172.15 – $650.32 | 14 |
| Shoulder AC Joint X-ray (both sides) CPT 73050 | $333.83 | $417.28 | $8.33 – $184.02 | 17 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | $5,272.00 | $6,590.00 | $958.10 – $5,557.54 | 15 |
| Shoulder Blade (Scapula) X-ray (both sides) CPT 73010 | $204.77 | $255.96 | $8.01 – $112.88 | 17 |
| Shoulder flexion-abduction j HCPCS L6645 | not published | not published | $202.59 – $703.30 | 14 |
| Shoulder harness HCPCS L5699 | not published | not published | $111.65 – $393.89 | 14 |
| Shoulder lock actuator HCPCS L6647 | not published | not published | $311.18 – $1,002.96 | 14 |
| Shoulder MRI (with and without contrast) CPT 73223 | $4,750.28 | $5,937.84 | $94.35 – $2,618.59 | 17 |
| Shoulder MRI (with contrast) CPT 73222 | $4,520.28 | $5,650.34 | $71.16 – $2,491.80 | 17 |
| Shoulder MRI (without contrast) CPT 73221 | $2,729.83 | $3,412.28 | $59.32 – $1,504.82 | 17 |
| Shoulder prosthesis removal CPT 23334 | $5,259.20 | $6,574.00 | $954.59 – $2,531.86 | 15 |
| Shoulder prosthesis removal CPT 23335 | not published | not published | $1,133.23 – $3,018.59 | 14 |
| Shoulder universal joint HCPCS L6650 | not published | not published | $202.68 – $762.80 | 14 |
| Shoulder X-ray CPT 73030 | $295.02 | $368.77 | $8.33 – $162.63 | 17 |
| Shoulder X-ray (single view, both shoulders) CPT 73020 | $164.97 | $206.21 | $6.77 – $90.94 | 17 |
| Shrinker prosth above knee HCPCS L8460 | not published | not published | $39.91 – $127.98 | 14 |
| Shrinker prosth below knee HCPCS L8440 | not published | not published | $25.10 – $90.03 | 14 |
| Shrinker upper limb HCPCS L8465 | not published | not published | $29.21 – $118.29 | 14 |
| Shunt as-aort to pulm art CPT 33755 | not published | not published | $1,140.59 – $3,044.66 | 14 |
| Shunt central w/prostc graft CPT 33764 | not published | not published | $1,140.59 – $3,044.66 | 14 |
| Shunt desc aorta to pulm art CPT 33762 | not published | not published | $1,104.56 – $2,951.17 | 14 |
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | $4,763.83 | $5,954.78 | $1,613.75 – $3,138.17 | 7 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $313.45 | $391.81 | $20.96 – $172.79 | 17 |
| Shunt subclavian to pulm art CPT 33750 | not published | not published | $1,087.39 – $2,905.54 | 14 |
| Shunt supr v/c p-art 1 lung CPT 33766 | not published | not published | $1,146.86 – $3,065.07 | 14 |
| Shunt supr v/c p-art bth lng CPT 33767 | not published | not published | $1,223.21 – $3,270.26 | 14 |
| Sialidase enzyme assay CPT 87905 | $38.58 | $48.22 | $3.50 – $21.27 | 16 |
| Sialography s&i CPT 70390 | $403.70 | $504.62 | $16.72 – $222.54 | 17 |
| Sialolithotomy 42330 CPT 42330 | $5,353.88 | $6,692.35 | $150.19 – $2,951.33 | 17 |
| Sickling rbc CPT 85660 | $33.57 | $41.96 | $3.31 – $18.50 | 16 |
| Sigmoidoscopy and biopsy CPT 45331 | $672.00 | $840.00 | $64.93 – $709.27 | 15 |
| Sigmoidoscopy flex decompression 45337 CPT 45337 | $291.20 | $364.00 | $102.04 – $709.27 | 15 |
| Sigmoidoscopy for bleeding CPT 45334 | $1,288.80 | $1,611.00 | $105.16 – $917.28 | 15 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | $649.60 | $812.00 | $60.22 – $709.27 | 15 |
| Sigmoidoscopy w/ablation CPT 45346 | $6,681.60 | $8,352.00 | $143.02 – $1,155.35 | 15 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | $648.00 | $810.00 | $94.00 – $917.28 | 15 |
| Sigmoidoscopy w/plcmt stent CPT 45347 | $388.80 | $486.00 | $137.45 – $4,631.05 | 15 |
| Sigmoidoscopy w/resection CPT 45349 | $501.60 | $627.00 | $118.64 – $2,133.47 | 15 |
| Sigmoidoscopy w/tumr remove CPT 45338 | $694.40 | $868.00 | $107.51 – $917.28 | 15 |
| Sigmoidoscopy w/ultrasound CPT 45341 | $312.00 | $390.00 | $110.96 – $709.27 | 15 |
| Sigmoidoscopy w/us guide bx CPT 45342 | $428.80 | $536.00 | $151.48 – $917.28 | 15 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | $764.00 | $955.00 | $83.96 – $709.27 | 15 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | $519.19 | $648.98 | $11.48 – $286.20 | 17 |
| Sig w/tndsc balloon dilation CPT 45340 | $1,105.60 | $1,382.00 | $69.67 – $917.28 | 15 |
| Sildenafil citrate, 25 mg HCPCS S0090 | not published | not published | $0.27 – $165.82 | 7 |
| Silicon gel insert w/wo lock HCPCS L6692 | not published | not published | $338.84 – $1,235.34 | 14 |
| Sim ang w/prs cath rad emb HCPCS C8004 | not published | not published | $11,112.34 – $18,914.62 | 11 |
| Simple cystometrogram 51725 CPT 51725 | $522.40 | $653.00 | $68.04 – $238.32 | 15 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $159.65 | $199.56 | $44.70 – $390.94 | 9 |
| Single energy x-ray study HCPCS G0130 | $76.80 | $96.00 | $10.22 – $68.68 | 14 |
| Single pivot hinge pair HCPCS L6605 | not published | not published | $110.90 – $450.94 | 14 |
| Single transfer toe-hand CPT 26553 | not published | not published | $786.83 – $7,745.69 | 14 |
| Sinus CT scan (with and without contrast) CPT 70488 | $1,871.00 | $2,338.74 | $55.26 – $1,031.38 | 17 |
| Sinus CT scan (with contrast) CPT 70487 | $1,773.96 | $2,217.44 | $49.40 – $977.89 | 17 |
| Sinus CT scan (without contrast) CPT 70486 | $1,536.19 | $1,920.23 | $37.54 – $846.82 | 17 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.